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Organization
THERAPEUTIC DYNAMICS
Active
Organization
THERAPEUTIC DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON MICHAEL PRESTON M.S.P.T. (PRESIDENT)
(770) 232-7100
Entity
Organization
Contact information
Practice address
1810 PEACHTREE INDUSTRIAL BLVD, SUITE 130, DULUTH, GA 30097-8180
(770) 232-7100
(770) 232-7198
Mailing address
1810 PEACHTREE INDUSTRIAL BLVD STE 130, DULUTH, GA 30097-8175
(770) 232-7100
(770) 232-7198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006667
GA
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52068657-004
BCBSGA PPO PIN
GA
01
—
7480721
AETNA PPO POS PIN
GA
Enumeration date
01/04/2007
Last updated
06/04/2026
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